ArticleSurgical endoscopy2023
Robotic versus laparoscopic transabdominal preperitoneal (TAPP) approaches to bilateral hernia repair: a multicenter retrospective study using propensity score matching analysis.
Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 6 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Comparative outcomes of robotic versus laparoscopic inguinal hernia repair: a systematic review and meta-analysis.Journal of robotic surgery · 2026Pooled it
- Short-term outcomes of robotic versus laparoscopic TAPP for inguinal hernia repair: a systematic review, meta-analysis, and GRADE assessment.Journal of robotic surgery · 2026Pooled it
- Single-port versus multi-port laparoscopic and robotic inguinal hernia repair: a systematic review and network meta-analysis.Surgical endoscopy · 2025Pooled it
- Clinical outcomes from robotic transabdominal preperitoneal inguinal hernia repair in patients under and over 70 years old: a single institution retrospective cohort study with a comprehensive systematic review on behalf of TROGSS - The Robotic Global Surgical Society.Aging clinical and experimental research · 2024Pooled it
- Is previous radical prostatectomy a contraindication to minimally invasive inguinal hernia repair? A contemporary meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- Pooled it
- Article
- Feasibility and safety of supervised robotic training for minor general surgical procedures: a prospective single-center study with early learning curve analysis.Journal of robotic surgery · 2026Article
- Role of Robotic Surgery and Artificial Intelligence in the Management of Abdominal Wall Hernias: A Systematic Review.Cureus · 2025Review
- Are we creating a hernia to fix a hernia: long-term hernia rates following robotic inguinal hernia repair.Surgical endoscopy · 2025Article
- Comment on: "Long-term quality of life outcomes following robotic inguinal hernioplasty: a single-centre experience of 100 cases".Journal of robotic surgery · 2025Article
- Long-term quality of life outcomes following robotic inguinal hernioplasty: a single-centre experience of 100 cases.Journal of robotic surgery · 2025Article
- A Systematic Review of Open, Laparoscopic, and Robotic Inguinal Hernia Repair: Management of Inguinal Hernias in the 21st Century.Journal of clinical medicine · 2025Article
- Robotic minimally invasive inguinal hernia repair with the Dexter robotic system™: A prospective multicenter clinical investigation.Surgical endoscopy · 2024Article
- Article
- From Meshes to Minimally Invasive Techniques: A Comprehensive Review of Modern Hernia Repair Approaches.Cureus · 2024Review
- Usefulness of laparoscopic inguinal hernia repair using the Endoscope Manipulator Robot (EMARO).Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Abdominal Wall Hernias-State of the Art of Laparoscopic versus Robotic Surgery.Journal of personalized medicine · 2024Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSince the introduction of minimally invasive surgery, new techniques like transabdominal preperitoneal (TAPP) repair have progressively gained acceptance for the treatment of groin hernia. Laparoscopic TAPP (LTAPP) is recommended for bilateral repairs. Likewise, the introduction of robotic platforms has promised additional surgical benefits for robotic TAPP (RTAPP), which are yet to be confirmed. This study compared multicenter data obtained from patients undergoing bilateral inguinal hernia repair with RTAPP, performed during the preliminary learning curve period, versus conventional LTAPP. MATERIALS AND
methodsAll consecutive bilateral inguinal hernia patients from four Italian centers between June 2015 and July 2020 were selected. A propensity score model was used to compare patients treated with LTAPP versus RTAPP, considering sex, age, body mass index, current smoking status, overall comorbidity, hernia classification (primary or recurrent), and associated procedures as covariates. After matching, intraoperative details and postoperative outcomes were evaluated.
resultsIn total, 275 LTAPP and 40 RTAPP were performed. After matching, 80 and 40 patients were allocated to the LTAPP and RTAPP cohorts, respectively. No intraoperative complications or conversion to open surgery occurred. However, a longer operative time was recorded in the RTAPP group (79 ± 21 versus 98 ± 29 min; p < 0.001). Postoperative visual analog scale (VAS) pain scores (p = 0.13) did not differ and complication rates were similar. There were no clinical recurrences in either group, with mean follow-up periods of 52 ± 14 (LTAPP) and 35 ± 8 (RTAPP) months. A statistical difference in length of hospital stay was found between the groups (1.05 ± 0.22 vs 1.50 ± 0.74 days; p < 0.001).
conclusionIn this patient population, outcomes for bilateral inguinal hernia repair appear comparable for RTAPP and LTAPP, except for a shorter recovery after laparoscopic surgery. A longer operative time for robotic surgery could be attributable to the learning curve period of each center.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.